CA2136419C - Systeme et methode d'etalonnage de la regulation du debit d'un prelevement sanguin - Google Patents
Systeme et methode d'etalonnage de la regulation du debit d'un prelevement sanguin Download PDFInfo
- Publication number
- CA2136419C CA2136419C CA002136419A CA2136419A CA2136419C CA 2136419 C CA2136419 C CA 2136419C CA 002136419 A CA002136419 A CA 002136419A CA 2136419 A CA2136419 A CA 2136419A CA 2136419 C CA2136419 C CA 2136419C
- Authority
- CA
- Canada
- Prior art keywords
- pressure
- flow rate
- fluid
- subject
- flow
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 210000004369 blood Anatomy 0.000 title claims abstract description 73
- 239000008280 blood Substances 0.000 title claims abstract description 73
- 238000000034 method Methods 0.000 title claims abstract description 40
- 238000000605 extraction Methods 0.000 title description 16
- 239000012530 fluid Substances 0.000 claims abstract description 122
- 238000009530 blood pressure measurement Methods 0.000 claims abstract description 42
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 26
- 230000000737 periodic effect Effects 0.000 claims abstract description 25
- 210000003462 vein Anatomy 0.000 claims description 103
- 238000012545 processing Methods 0.000 claims description 16
- 238000005086 pumping Methods 0.000 claims description 15
- 210000001124 body fluid Anatomy 0.000 claims description 12
- 230000036772 blood pressure Effects 0.000 claims description 9
- 238000005259 measurement Methods 0.000 claims description 9
- 238000013519 translation Methods 0.000 claims description 9
- 230000004044 response Effects 0.000 claims description 7
- 230000004308 accommodation Effects 0.000 claims description 6
- 230000000977 initiatory effect Effects 0.000 claims description 5
- 230000000694 effects Effects 0.000 claims description 4
- 238000002617 apheresis Methods 0.000 abstract description 3
- 238000011088 calibration curve Methods 0.000 abstract description 2
- 230000017531 blood circulation Effects 0.000 description 33
- 238000002616 plasmapheresis Methods 0.000 description 15
- 210000004027 cell Anatomy 0.000 description 9
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 8
- 239000003146 anticoagulant agent Substances 0.000 description 8
- 229940127219 anticoagulant drug Drugs 0.000 description 8
- 230000001276 controlling effect Effects 0.000 description 7
- 238000001990 intravenous administration Methods 0.000 description 7
- 230000012953 feeding on blood of other organism Effects 0.000 description 6
- 230000001133 acceleration Effects 0.000 description 5
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- 238000005534 hematocrit Methods 0.000 description 5
- 239000011780 sodium chloride Substances 0.000 description 5
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- 206010053567 Coagulopathies Diseases 0.000 description 3
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- 210000002889 endothelial cell Anatomy 0.000 description 2
- 238000013213 extrapolation Methods 0.000 description 2
- 238000001595 flow curve Methods 0.000 description 2
- 230000005484 gravity Effects 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000012067 mathematical method Methods 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 206010018910 Haemolysis Diseases 0.000 description 1
- 102000001554 Hemoglobins Human genes 0.000 description 1
- 108010054147 Hemoglobins Proteins 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 230000023555 blood coagulation Effects 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
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- 238000005345 coagulation Methods 0.000 description 1
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- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002637 fluid replacement therapy Methods 0.000 description 1
- 230000008588 hemolysis Effects 0.000 description 1
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Classifications
-
- G—PHYSICS
- G05—CONTROLLING; REGULATING
- G05D—SYSTEMS FOR CONTROLLING OR REGULATING NON-ELECTRIC VARIABLES
- G05D7/00—Control of flow
- G05D7/06—Control of flow characterised by the use of electric means
- G05D7/0617—Control of flow characterised by the use of electric means specially adapted for fluid materials
- G05D7/0629—Control of flow characterised by the use of electric means specially adapted for fluid materials characterised by the type of regulator means
- G05D7/0676—Control of flow characterised by the use of electric means specially adapted for fluid materials characterised by the type of regulator means by action on flow sources
- G05D7/0682—Control of flow characterised by the use of electric means specially adapted for fluid materials characterised by the type of regulator means by action on flow sources using a plurality of flow sources
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/30—Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
- A61M1/301—Details
- A61M1/303—Details having a reservoir for treated blood to be returned
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/30—Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
- A61M1/301—Details
- A61M1/305—Control of inversion point between collection and re-infusion phase
- A61M1/306—Pressure control, e.g. using substantially rigid closed or gas buffered or elastic reservoirs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3639—Blood pressure control, pressure transducers specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3656—Monitoring patency or flow at connection sites; Detecting disconnections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/30—Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3344—Measuring or controlling pressure at the body treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3351—Controlling upstream pump pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3355—Controlling downstream pump pressure
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/13—Infusion monitoring
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Hematology (AREA)
- General Health & Medical Sciences (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Urology & Nephrology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Emergency Medicine (AREA)
- Cardiology (AREA)
- Physics & Mathematics (AREA)
- General Physics & Mathematics (AREA)
- Automation & Control Theory (AREA)
- External Artificial Organs (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US07/891,527 US5536237A (en) | 1992-06-01 | 1992-06-01 | Blood extraction flow control calibration system and method |
| US07/891,527 | 1992-06-01 | ||
| PCT/US1993/005147 WO1993024159A1 (fr) | 1992-06-01 | 1993-05-28 | Systeme et procede d'etalonnage et de regulation du debit de prelevement sanguin |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2136419A1 CA2136419A1 (fr) | 1993-12-09 |
| CA2136419C true CA2136419C (fr) | 2003-05-13 |
Family
ID=25398349
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002136419A Expired - Fee Related CA2136419C (fr) | 1992-06-01 | 1993-05-28 | Systeme et methode d'etalonnage de la regulation du debit d'un prelevement sanguin |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US5536237A (fr) |
| EP (1) | EP0643594B1 (fr) |
| JP (1) | JP3232483B2 (fr) |
| CA (1) | CA2136419C (fr) |
| DE (1) | DE69323744T2 (fr) |
| WO (1) | WO1993024159A1 (fr) |
Families Citing this family (46)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5906589A (en) * | 1996-11-13 | 1999-05-25 | Cobe Laboratories, Inc. | Method and apparatus for occlusion monitoring using pressure waveform analysis |
| US6695803B1 (en) | 1998-10-16 | 2004-02-24 | Mission Medical, Inc. | Blood processing system |
| US6526357B1 (en) | 1999-08-09 | 2003-02-25 | Gambro, Inc. | Associated parameter measuring and/or monitoring such as in the evaluation of pressure differences |
| US7006896B1 (en) * | 1999-10-13 | 2006-02-28 | Graco Minnesota Inc. | Sealant dispensing correction method |
| SE517051C2 (sv) | 1999-12-10 | 2002-04-09 | Tetra Laval Holdings & Finance | Kontinuerlig anordning vid en distributionsutrustning |
| US7169352B1 (en) * | 1999-12-22 | 2007-01-30 | Gambro, Inc. | Extracorporeal blood processing methods and apparatus |
| DE60035474T2 (de) | 1999-12-22 | 2008-03-13 | Gambro Inc., Lakewood | Vorrichtung zur extrakorporalen Blutbehandlung |
| US7608053B2 (en) * | 2000-01-10 | 2009-10-27 | Caridianbct, Inc. | Extracorporeal blood processing methods with return-flow alarm |
| US6514226B1 (en) | 2000-02-10 | 2003-02-04 | Chf Solutions, Inc. | Method and apparatus for treatment of congestive heart failure by improving perfusion of the kidney |
| CA2370758A1 (fr) * | 2000-03-01 | 2001-09-07 | Gambro, Inc. | Systeme extracorporel de gestion d'information en matiere de traitement du sang |
| US7430478B2 (en) | 2000-03-01 | 2008-09-30 | Caridian Bct, Inc. | Blood processing information system with blood loss equivalency tracking |
| US6691047B1 (en) * | 2000-03-16 | 2004-02-10 | Aksys, Ltd. | Calibration of pumps, such as blood pumps of dialysis machine |
| US6287608B1 (en) | 2000-04-11 | 2001-09-11 | Intellicardia, Inc. | Method and apparatus for treatment of congestive heart failure by improving perfusion of the kidney by infusion of a vasodilator |
| US6887214B1 (en) | 2000-09-12 | 2005-05-03 | Chf Solutions, Inc. | Blood pump having a disposable blood passage cartridge with integrated pressure sensors |
| US6533747B1 (en) | 2000-05-23 | 2003-03-18 | Chf Solutions, Inc. | Extracorporeal circuit for peripheral vein fluid removal |
| US6890315B1 (en) * | 2000-05-23 | 2005-05-10 | Chf Solutions, Inc. | Method and apparatus for vein fluid removal in heart failure |
| US6468241B1 (en) | 2000-10-26 | 2002-10-22 | Chf Solutions, Inc. | Artificial kidney set with electronic key |
| US6585675B1 (en) | 2000-11-02 | 2003-07-01 | Chf Solutions, Inc. | Method and apparatus for blood withdrawal and infusion using a pressure controller |
| US6689083B1 (en) | 2000-11-27 | 2004-02-10 | Chf Solutions, Inc. | Controller for ultrafiltration blood circuit which prevents hypotension by monitoring osmotic pressure in blood |
| US6706007B2 (en) * | 2000-12-29 | 2004-03-16 | Chf Solutions, Inc. | Feedback control of ultrafiltration to prevent hypotension |
| US6773412B2 (en) * | 2001-04-13 | 2004-08-10 | Chf Solutions, Inc. | User interface for blood treatment device |
| US6796955B2 (en) * | 2002-02-14 | 2004-09-28 | Chf Solutions, Inc. | Method to control blood and filtrate flowing through an extracorporeal device |
| US7704454B1 (en) | 2003-10-08 | 2010-04-27 | Caridianbct, Inc. | Methods and devices for processing blood |
| US8038639B2 (en) | 2004-11-04 | 2011-10-18 | Baxter International Inc. | Medical fluid system with flexible sheeting disposable unit |
| US20060009727A1 (en) * | 2004-04-08 | 2006-01-12 | Chf Solutions Inc. | Method and apparatus for an extracorporeal control of blood glucose |
| US7303540B2 (en) * | 2004-04-26 | 2007-12-04 | Chf Solutions, Inc. | User interface for blood treatment device |
| US8303482B2 (en) * | 2004-09-07 | 2012-11-06 | Micromed | Method and system for physiologic control of a blood pump |
| US20090054754A1 (en) * | 2007-08-21 | 2009-02-26 | Mcmahon Dave | Clinician-controlled semi-automated medication management |
| US20100168535A1 (en) * | 2006-04-12 | 2010-07-01 | Mark Ries Robinson | Methods and apparatuses related to blood analyte measurement system |
| US8323194B2 (en) * | 2009-12-18 | 2012-12-04 | Inlight Solutions, Inc. | Detection of bubbles during hemodynamic monitoring when performing automated measurement of blood constituents |
| US20090156975A1 (en) * | 2007-11-30 | 2009-06-18 | Mark Ries Robinson | Robust System and Methods for Blood Access |
| US20090048535A1 (en) * | 2007-08-13 | 2009-02-19 | Mark Ries Robinson | Detecting Cross-contamination in Blood Measurements with a Multilumen Catheter |
| US20090088615A1 (en) * | 2007-10-01 | 2009-04-02 | Mark Ries Robinson | Indwelling Fiber Optic Probe for Blood Glucose Measurements |
| WO2007059476A2 (fr) * | 2005-11-15 | 2007-05-24 | Luminous Medical, Inc. | Determination d'analytes sanguins |
| US20100094114A1 (en) * | 2008-10-09 | 2010-04-15 | Mark Ries Robinson | Use of multiple calibration solutions with an analyte sensor with use in an automated blood access system |
| US8092414B2 (en) | 2005-11-09 | 2012-01-10 | Nxstage Medical, Inc. | Diaphragm pressure pod for medical fluids |
| US7981070B2 (en) * | 2006-05-04 | 2011-07-19 | Abatis Medical Technologies, Ltd. | Internal tourniquet for automatically controlling hemostasis within a joint capsule |
| WO2009029677A1 (fr) * | 2007-08-27 | 2009-03-05 | Quest Medical, Inc. | Pompe à sang à piston auto-adaptative |
| GB2504644A (en) | 2011-05-31 | 2014-02-05 | Nxstage Medical Inc | Pressure measurement devices, methods and systems |
| US9733805B2 (en) | 2012-06-26 | 2017-08-15 | Terumo Bct, Inc. | Generating procedures for entering data prior to separating a liquid into components |
| EP3687597B1 (fr) | 2017-09-28 | 2025-12-24 | Terumo Kabushiki Kaisha | Dispositif de collecte de constituants biologiques et système de collecte de constituants biologiques |
| JP7133617B2 (ja) | 2017-09-28 | 2022-09-08 | テルモ株式会社 | 生体成分採取システム及び回路内圧取得方法 |
| US10806840B2 (en) * | 2017-10-13 | 2020-10-20 | Heartware, Inc. | Dynamic HQ for closed loop control |
| WO2019188505A1 (fr) * | 2018-03-26 | 2019-10-03 | Terumo Kabushiki Kaisha | Système de collecte de composants biologiques et procédé d'acquisition de pression interne de trajet d'écoulement |
| AU2020241517A1 (en) | 2019-03-15 | 2021-09-30 | Nxstage Medical, Inc. | Pressure measurement devices, methods, and systems |
| AU2024368338A1 (en) * | 2023-10-23 | 2026-04-09 | Crown Range Medical, Inc. | Systems and methods for modulating reverse flow to avoid vessel collapse during embolectomy |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4392849A (en) * | 1981-07-27 | 1983-07-12 | The Cleveland Clinic Foundation | Infusion pump controller |
| US4468219A (en) * | 1983-12-20 | 1984-08-28 | International Business Machines Corporation | Pump flow rate compensation system |
| US4710164A (en) * | 1984-05-01 | 1987-12-01 | Henry Ford Hospital | Automated hemodialysis control based upon patient blood pressure and heart rate |
| AU4409285A (en) * | 1984-06-29 | 1986-01-24 | Hemascience Laboratories Inc. | Blood extraction and reinfusion flow control system and method |
| US4795314A (en) * | 1987-08-24 | 1989-01-03 | Cobe Laboratories, Inc. | Condition responsive pump control utilizing integrated, commanded, and sensed flowrate signals |
-
1992
- 1992-06-01 US US07/891,527 patent/US5536237A/en not_active Expired - Lifetime
-
1993
- 1993-05-28 DE DE69323744T patent/DE69323744T2/de not_active Expired - Fee Related
- 1993-05-28 WO PCT/US1993/005147 patent/WO1993024159A1/fr not_active Ceased
- 1993-05-28 CA CA002136419A patent/CA2136419C/fr not_active Expired - Fee Related
- 1993-05-28 JP JP50081494A patent/JP3232483B2/ja not_active Expired - Fee Related
- 1993-05-28 EP EP93914260A patent/EP0643594B1/fr not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| DE69323744D1 (de) | 1999-04-08 |
| EP0643594B1 (fr) | 1999-03-03 |
| US5536237A (en) | 1996-07-16 |
| EP0643594A1 (fr) | 1995-03-22 |
| CA2136419A1 (fr) | 1993-12-09 |
| WO1993024159A1 (fr) | 1993-12-09 |
| DE69323744T2 (de) | 1999-11-04 |
| JP3232483B2 (ja) | 2001-11-26 |
| JPH07507462A (ja) | 1995-08-24 |
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